Provider Demographics
NPI:1578978128
Name:SEILER, CHRYSTIL (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHRYSTIL
Middle Name:
Last Name:SEILER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:CHRYSTIL
Other - Middle Name:
Other - Last Name:SPAMPINATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 ABBY CT
Mailing Address - Street 2:
Mailing Address - City:MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11955-1813
Mailing Address - Country:US
Mailing Address - Phone:631-974-7716
Mailing Address - Fax:
Practice Address - Street 1:1 ABBY CT
Practice Address - Street 2:
Practice Address - City:MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11955-1813
Practice Address - Country:US
Practice Address - Phone:631-974-7716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307096-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse